NPI | 1619042181 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN SHERIDAN PORTER CEO 702-650-0590 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NV 307C) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV 307C) |
103G00000X Clinical Neuropsychologist (Licence: NV 307C) | |
Enumeration Date | 2006-11-21 |
Last Update Date | 2025-09-11 |